Background Aphasia negatively impacts face-to-face social participation and the difficulties that people experience using the phone exacerbate these challenges in staying in touch with family and friends. Videoconferencing enables multimodal communication, and teamed with supported conversation, could facilitate access to conversation and thereby increase social participation for people with chronic

Background Attention deficits frequently accompany language impairments in aphasia. Most research on attention in aphasia focuses on selective attention measured by executive control tasks such as the color-word Stroop or Erickson flanker. This is despite ample evidence in neurotypical adults indicating the existence of multiple, distinct attention subtypes. Thus, there is a disconnect between the

Introduction Few self-administered outcome measures are available for communication partner training (CPT) programs for aphasia. The Aphasia Attitudes, Strategies, and Knowledge (AASK) survey was developed to align with and evaluate three key ingredients of the Supported Conversation for adults with Aphasia (SCA™) communication partner training model. The AASK is a new, clinically feasible tool that

Background Recovery from stroke-related aphasia follows different stages, evolving from the acute and subacute phase (< 6 months post stroke) into the chronic phase (> 6 months post stroke). In general, phonology remains tenaciously disturbed, making it a relevant language marker to assess in every stage of recovery. The classical behavioural evaluation of phonological abilities in patients with aphasia

ABSTRACT Background Apraxia of speech (AOS) can be caused by neurodegenerative disease and sometimes is its presenting sign (i.e., primary progressive apraxia of speech, PPAOS). During the last several decades, our understanding of PPAOS has evolved from clinical recognition to a fuller understanding of its core and associated clinical features, its distinction from but relationship with primary progressive

Background Several studies have revealed an association between stress and language in nonclinical and aphasia groups. Laughter is considered to be an important contributor to physical and mental health including physiological and self-reported perceived stress. Simulated laughter programs, such as Laughter Yoga (LY), are a way to engage a person in the act of laughter without a humorous stimulus.

Background Several studies on agrammatic aphasia have suggested a selective deficit in the production and processing of temporal reference to the past. To account for this pattern of performance, the PAst DIscourse LIinking Hypothesis was formulated (PADILIH). The PADILIH assumes an impairment of discourse-linking operations in agrammatic aphasia, which manifests in greater difficulty with reference

Background The Western Aphasia Battery (WAB) is one of the most widely used batteries for assessing people with aphasia. Despite longstanding use, it is unclear how the individual components of the battery contribute to the aphasia quotient (AQ), which profiles aphasia severity. Objectives The primary objective of this study was to explore the individual contributions of the four major components (Spontaneous

Background Within the last four decades, individuals with aphasia have been observed to face difficulties in understanding complex sentences despite having good understanding of single words. The difficulties observed have been proposed to follow a pattern predicted by the theory of grammar, making the deficit a special case of an underspecified language competence. Aims The purpose of this study is

Background Notable positive change arising from the struggle with a major crisis (known as posttraumatic growth – PTG) has been reported following war, accidents and life-threatening illnesses. Whilst negative changes following aphasia are well-documented, positive changes, such as PTG, have not been sufficiently explored. Aims To determine whether people with aphasia can experience PTG throughout

Background Chronic severe Wernicke’s aphasia has a poor prognosis and is challenging to treat. Furthermore, even when there is potential for improvement, formal assessments using accuracy scores only to measure changes in language abilities after treatment may not be sensitive enough to capture improvements. Less-constrained language tasks, such as discourse analysis, may be more sensitive to measuring

ABSTRACT Background It has been demonstrated that reference to the past is difficult for individuals with agrammatic aphasia, leading to the formulation of the PAst DIscourse LInking Hypothesis (PADILIH). Many of the previous studies have focused on Indo-European languages, in which time reference is expressed through verb inflection. The current study examined the PADILIH in Thai, a language that

Background Many people with aphasia have a strong desire to participate in reading activities despite persistent reading challenges. Digital reading devices and text-to-speech (TTS) technology are increasing in popularity and have the potential to help people with aphasia. Systematic investigation of modifiable TTS features provides a means of exploring this potential. Aims This study’s aim was to

Background Spoken word retrieval therapy forms an integral part of aphasia therapy. Due to the range of therapy options and variations, drawing clear-cut conclusions from the evidence base can be challenging. Aims This paper consolidates recent findings (2008–2018), pertinent to spoken word-finding interventions. Specifically, we are interested in aphasia interventions: (1) that target single-word

Background Improved discourse production is a priority for all key stakeholders in aphasia rehabilitation. A Cochrane review of randomised controlled trials (RCTs) for aphasia found speech and language therapy treatment to be effective for improving the ability to communicate in everyday interaction. However, this large-scale review did not focus exclusively on treatment for discourse production and

Background Aphasia is a devastating disorder occurring in more than 30% of stroke victims. Speech and language therapy (SLT) is the treatment of choice for post-stroke aphasia (PSA) in acute and chronic periods, yet benefits are limited and gains in several language domains are not always translated to both untreated deficits and functional communication. Therefore, pharmacotherapy and non-invasive

ABSTRACT Background The impact of stroke and aphasia has been recognised as a family problem for many years with studies highlighting spouses’ need for information at different times along the recovery journey, for practical and emotional support, recognition, and respite. In particular, the decision-making around discharge from hospital, or planning for rehabilitation, is not always collaborative

Background A reduced quality of life for people with aphasia is in part associated with their loss of friendships and social networks. Twitter offers people with communication disability a way to exchange information, develop and maintain their social networks and connections, and participate in society online. However, little is known about how Twitter is used to exchange information about aphasia

Background Speech and language therapists in Gulf Arabic countries still rely on informal aphasia and/or translated western-language assessments to assess the language proficiency of people with aphasia. However, these tests are not sensitive to the linguistic and cultural features of the Arabic language, which may lead to inaccurate diagnosis. This paper describes the preliminary development and psychometric

Background: The complexity of speech motor control, and the incomplete conceptualisation of phases in the transformation of the speech code from linguistic symbols to a code amenable to a motor system, tend to obscure the understanding of acquired apraxia of speech (AOS). The four-level framework (FLF) of speech sensorimotor control suggests the differentiation between speech motor planning, programming

Background: Guidelines to support accessible goal setting with stroke survivors with aphasia are lacking. Aims: This review aimed to (i) determine the communication barriers and facilitators relevant to accessible goal setting for stroke survivors with aphasia and (ii) propose recommendations for accessible goal setting practice. Design: We conducted a narrative literature review incorporating a systematic

Background: Up to 60% of people with aphasia experience persistent word-finding difficulties into the chronic stage, starting six months after the stroke. Semantic Feature Analysis (SFA) and Phonological Components Analysis (PCA) are two common word-finding interventions that use the generation of semantic features for SFA (e.g. category) and phonological features for PCA (e.g. first sound) to improve

ABSTRACT Background: Usual care is the term used to describe everyday practice in the management of a client within a profession. The knowledge of the tasks used in therapy and key therapeutic processes used within these treatments, provides critical information about if and how the therapy works. The Very Early Rehabilitation in SpEech Randomised Controlled Trial (VERSE RCT) had three arms with therapists

Background: The Directions Into Velocities of Articulators (DIVA) model and its partner, the Gradient Order DIVA (GODIVA) model, provide neurobiologically grounded, computational accounts of speech motor control and motor sequencing, with applications for the study and treatment of neurological motor speech disorders. Aims: In this review, we provide an overview of the DIVA and GODIVA models and how

Background: Lexical access in bilinguals can be influenced by the demands that different interactional contexts pose on cognitive control processes. However, how varying cognitive control demands impact lexical access in bilingual persons with aphasia (BPWA) remains unclear. Verbal fluency tasks may provide valuable insights into the interplay between cognitive control and lexical access in BPWA by

Background: Spiritual aspects of aphasia rehabilitation are poorly understood, though identified within adjustment. Existing spiritual health assessments have not been used with people with aphasia, and no structured program to facilitate intervention has been documented, despite acknowledgements that spirituality is important in health and wellbeing and distinct from quality of life and mental health

(2020). Primary Progressive Aphasia and Other Frontotemporal Dementias: Diagnosis and Treatment of Associated Communication Disorders. Aphasiology. Ahead of Print.

Background: Stroke-like migraine attacks after radiation therapy – also known as SMART syndrome – constitute a rare condition characterised by headache, seizures, vision abnormalities, hemiparesis, and aphasia. The condition usually resolves within a few days or weeks with little to no residual impairment; however, recovery in some cases is protracted and incomplete. Aims: The purpose of this case

ABSTRACT Background: Stroke causes communication impairments but we lack the real-world population-level data needed to inform inpatient and community services. Aims: To establish prevalence of aphasia and dysarthria within inpatient stroke survivors, describe those affected, the amount of therapy they receive and their outcomes. Methods & Procedures: Secondary analysis of data from the Sentinel Stroke

(2020). The value of “communication strategies” in the treatment of aphasia. Aphasiology. Ahead of Print.

(2020). Acquired language disorders. A case-based approach (3rd edition). Aphasiology. Ahead of Print.

Background: Everyday communication often occurs in situations that pose high attentional and social demands. People with aphasia have reported perceiving greater challenge communicating in these situations, but more specific information about these challenges could help clinicians and researchers work toward more meaningful intervention outcomes and increased life participation. Aims: To explore the

ABSTRACT Background: Written language impairments are common in Alzheimer’s disease and reduced syntactic complexity in written discourse has been observed decades before the onset of dementia. The validity of average dependency distance (ADD), a measure of syntactic complexity, in cognitive decline needs to be studied further to evaluate its clinical relevance. Aims: The aim of the study was to determine

Background: The pattern of post-stroke aphasia in Spanish speakers has not previously been reported. Furthermore, the association between aphasia type and demographic variables is not clearly understood. Aims: To investigate the incidence and type of aphasia in first-ever acute stroke during the early chronic and later chronic periods in native Spanish speakers and the effect of demographic variables

Background: Language can be viewed and analysed at many levels. One of them is, “language in use” or discourse. A complex system of cognitive and linguistic processes is required for the performance of discourse; any deficits at this system level can impair the use of language. Studies have shown impaired performance of discourse in individuals with Wernicke’s aphasia (WA). In this condition the participant

Background: Conversation Partner schemes are increasingly used as a way of addressing the psychosocial and emotional consequences of aphasia, providing opportunities for people with aphasia to engage in authentic conversation and to develop social relationships. As yet, there are no outcome measures, that are theorised to match what is expected to change and how such changes are best identified, and

Rationale: In the approach presented here, adult apraxia of speech (AoS) is understood as a disorder affecting the language-specific motor patterns a speaker acquires during childhood and adolescence. The phonological factors that influence articulatory accuracy in AoS reflect the relative vulnerability of their accompanying motor planning variables to apraxic impairment, depending on the extent to

Background: Neglect dyslexia (ND) is a reading disorder that impairs the left visual field. The Left periphery (LP) is the highest layer of the extended syntactic structure, and it represents the interface between communicative intention and syntactic realization. Topic and Focus are the two central projections of the LP. Sentences involving either Topic or Focus display marked structures in which

Background: Whilst reading difficulties are a common feature of aphasia, there has been limited consideration of the impact of these difficulties on how people with aphasia experience reading in their everyday lives. Previous studies, using semi-structured interviews, have highlighted the need to consider reading from the perspective of the individual due to the complexity of factors influencing reading

Background: This paper presents the pilot testing of an online professional development (PD) course for New Zealand (NZ) speech-language therapists (SLTs) working with Māori with stroke-related communication disorders (predominantly aphasia). Taking a public health approach and focusing on the context of Māori as Indigenous peoples in a colonised society, the course lays the foundation for aphasia

Background: Aphasia is one of the frequent consequences of stroke. The Stroke and Aphasia Quality of Life Scale-39 (SAQOL-39) is a commonly used instrument for measuring the quality of life in persons with aphasia following stroke. Aims: The aim of this study was twofold: (1) to examine the reliability and validity of the Persian version of the SAQOL-39, and (2) to examine the agreement between the

Background: Generalization of treatment effects is the ultimate goal of therapy. However, treatment generalization across language modalities is not well understood in the aphasia literature and requires further investigation. This work examined the generalization effects of two word retrieval therapies, Phonomotor Treatment (PMT) and Semantic Feature Analysis (SFA), to reading performance in individuals

Background: While persons with aphasia (PwA) are often dichotomised as fluent or nonfluent, agreement that fluency is not an all-or-nothing construct has led to the use of continuous variables as a way to quantify fluency, such as multi-dimensional rating scales, speech rate, and utterance length. Though these measures are often used in research, they provide little information about the underlying

Background: Languages of the world have several ways of expressing time reference. Many languages such as those in the Indo-European group express time reference through tense. Languages such as Chinese and Standard Indonesian express time reference through aspectual adverbs, while Akan does so through grammatical tone. Previous studies have found that time reference is selectively impaired, with reference

Background: The diagnostic criteria for the semantic variant of primary progressive aphasia (svPPA) include the possible presence of acquired surface dyslexia or dysgraphia. Acquired surface dyslexia is characterized by a greater difficulty in reading irregular words with the production of regularization errors. On the other hand, acquired surface dysgraphia is characterized by difficulties in writing

Purpose: To investigate the effects of symbol format and verb argument structure on the naming, identification, and sentence generation in people with aphasia (PWA). Methods: A 2 × 2 randomized, mixed factorial design was used. Symbol format was the between-subjects variable with a photograph condition and a video condition. Verb argument structure was the within-subjects variable and included two-

Background: Empirical study of the effects of treatment for acquired apraxia of speech (AOS) has been ongoing for more than four decades. The evidence-base supporting behavioral therapies for AOS has been systematically reviewed previously. However, a substantial body of AOS treatment research has accumulated which has not been summarized in any form. Aims: The aim of the current report is to provide

Background: Findings from several studies have indicated that participants with nfvPPA and participants with svPPA exhibit different patterns on action and object naming tasks, while other recent studies have found that neither participants with nfvPPA nor participants with svPPA show a significant difference in accuracy between object naming and action naming. Aims: The goal of this study was to test

Background: The concept of fluency is widely used to dichotomously classify aphasia syndromes in both research and clinical practice. Despite its ubiquity, reliability of fluency measurement is reduced due to its multi-dimensional nature and the variety of methods used to measure it. Aims: The primary aim of the study was to determine what factors contribute to judgements of fluency in aphasia, identifying

Background: Group therapy has shown benefit in language recovery in patients with aphasia (PWA). However, many in the field question its role in improving quality of life for PWA, as well as whether socio-demographic factors are related to observed improvements. Aims: To explore socio-demographic characteristics potentially associated with improvement in quality of life following a multicomponent aphasia

(2020). Repeated word production is inconsistent in both aphasia and apraxia of speech. Aphasiology. Ahead of Print.

Background: The Aphasia Rapid Test (ART) is a screening test developed for fast speech/language assessment of people in the acute stroke period. This test has been developed for French and English and was recently adapted for Portuguese and Italian. Nowadays, such a standardised screening test is in a great need at clinics with Russian-speaking patients. To fill this gap, the ART was adapted for Russian

ABSTRACT Background: The localization and organization of language has been an ongoing research interest ever since the early findings of Paul Broca. The emergence of neuroimaging the past 20 years has given us new insights on the anatomical and structural organization of the brain. Lesion studies on patients with aphasia can provide knowledge on where and how specific language functions are organized

Background: Globalization has resulted in a growing bilingual population worldwide; thus, bilingual speakers with aphasia are also increasing. The ability to juggle languages has been reported to enhance attentional control abilities in healthy populations. However, few studies have looked at the impact of bilingualism on attentional control abilities in individuals with aphasia. Different subcomponents

ABSTRACT Background: Inflecting the verb for agreement requires an intact discourse-semantic ability in addition to that for morphosyntax, since the use of person involves a link between the participants in the speech act and the morphosyntactic expression of this feature. Unlike the first person (the Speaker), the second person (the Addressee) requires additional discourse processing, termed “discourse-linking”

Background: Speech and language therapy is effective in improving language outcomes in acquired aphasia. However, it remains unclear which therapy parameters are most important to ensure gains. Published literature reviews are limited by the heterogeneity of the protocols considered, conflation of important parameters, and/or the paucity of the studies reviewed. Aims: We carried out two new reviews

ABSTRACT Background: Writing ability is of increasing importance in our computerised societies, yet research into functional text writing in persons with aphasia (PWA) remains scarce. Knowledge is limited of how different aspects of the writing process interact during writing. Spelling ability has commonly been investigated using dictation tests, but it is not known to what extent those results relate

Background: Verbal short-term memory (STM) and the related ability, working memory (WM), are widely understood to be integral components of language production and comprehension. However, assessment of these abilities in people with aphasia is hampered by a lack of valid, standardized measures that are clinically appropriate. Focusing primarily on verbal STM, we held a series of five focus groups with

Background: Recent studies have emphasized the importance of initial aphasia severity as a determinant of aphasia recovery. However, data on predictors of initial post-stroke aphasia severity itself are far from adequate in the available literature. Aims: The objective of the present study was to enumerate the predictors of initial aphasia severity following stroke. Methods & Procedures: Bengali version

Background: Most treatments for acquired apraxia of speech (AOS) rely on clinician-controlled practice conditions and repeated exposure to unimpaired speaker models. Recent motor learning research indicates that autonomy-support, expectation of competence, and external attentional focus may be more beneficial for motivation and skill learning. Aims: We evaluated the feasibility and basic therapeutic